| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.81 | $319.89 | $354.86 | |
Aetna
| Professional | $138.10 | $319.89 | $354.86 | |
BCBS
| Facility | $174.81 | $174.81 | $174.81 | |
BCBS
| Professional | $174.81 | $174.81 | $174.81 | |
Cigna
| Facility | $113.63 | $132.61 | $261.17 | |
Cigna
| Professional | $74.76 | $136.37 | $299.04 | |
United
| Professional | $73.42 | $104.89 | $297.64 |